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�hc£�•rr�reen � �pNSTRUCTlO� . <br /> U1v O� � <br /> everett PERMIT PERMIT N6. 15326 <br /> CITY HALL 2596745 <br /> EVERETT.WA 9?201 ❑ COMBINATION C2I�C BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER MRI�ADDRE55 CITY ZIP PMONE <br /> Providence Hoepital, P.O. Box 1067 Everett 98206 258-7d1d <br /> •RGMItECT ON DESIGNER MAIL ADDHESS CITY ZIP VNONE <br /> GENER�LWNTF�CTOR MRILFDDFE55 QTf ZIP PHONE LIGENSEI <br /> Newland Construction Co. Inc. P.O. Box 958 Everett 98206 259-9191 <br /> MECMANIGAL GONTRACTOR MAIL ADORESS CITY 21P PNONE UCENSE/ <br /> PLUMBING CONTH�CTOR MAIL AODRESS CITY ZIP PHONE LICENSE� <br /> GU55 OF WORK <br /> ❑NEW ❑ PDDI710N j�j AL7ERATION ❑REPAIR �.i DEMOLITION O PENCE ❑ SIGN ❑ WOOD STOVbFIREPLACE INSERT <br /> V�IUATION OF WORN <br /> 3 220�000.00 __ <br /> DESCHIBE WORK <br /> clrst Floor Renovation <br /> PROPOSE�USE OF BWLUING <br /> Hospital I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRL DESCRIPTION OF PNOPERTY fSHOW BELOW OF ATTACN FOUH COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GGVEIiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LA HEGULATING CONSTRUCTION OR THE <br /> PERFORM E OF CONST CTION. <br /> JOB RDDRE^5 SIGNnTU ` ONTRRLTOR AUi RI AGENi DA:. �+'/3/� <br /> / <br /> z 916 Pacific Avenue X ,' <br /> PLUMSIN6 MECMAN AL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF S�UIPMENT FEE <br /> WATERCLGSET�TOILETI AIR CONO. UNITS— M.P. EA. <br /> BATMTUB REfRIv"ERATION UNITS — M.P. EA. <br /> LAVATORY�WASH BASIN) BOILEFS— H.a. EA. <br /> SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. <br /> KITCMEN SINK 8 D�Sp, FORCEU AIR S'Y:�TEMS— B.T.U. M EA. <br /> DISMWASHER H'A�l HEATER�— B.T.U. M <br /> LAUNORY TRAV UNIT HEA7ERS— B.7.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> W�T[R HEATER CLOTMFS DHVERS _ <br /> URINAL VENTILATION FAN <br /> DHINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANOLING UHIT— C.F.M. <br /> VACUUM BREAKERS S70VE—WOOC <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 6 CNIMNEY <br /> SINK ISERVICE— BAR, E7C.) FIREPLACE INSERi <br /> HEAT PUMP <br /> SUB TOTAL f SUB TOTAL t <br /> PERMIT f PEPMIT f <br /> TOTIIL FEE i TOTAL FEE f <br /> SIOE VAFD SETBACK STREETSETBACK REAR YARD SETBACK PLAN GHECK NUMBER PLAN CHECN FEE <br /> N A N � 85/15326 FEE476.25 'f���q�gTNo. <br /> USE ZONE LOT AREA VACANi SITE — <br /> R-3 N�A � �.YES 7L06 FEES �ALURTION FEE <br /> TYPE OF CONST. OCGUPANCV GROUP NO. OF�WELIING UNITS <br /> II- I Hr. I-1 ) 0 --- <br /> BUILDING E200 000. <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> N/A N A N A PLUMBING — <br /> FIRE20NE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> FEOUIRED <br /> YES ' NO <br /> APPHOV�LS BY D�TE OTHER <br /> 1.FN. qONMENTALCHECKLIST PENALTY U.BC <br /> SEC.303(a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT TOTAL 733 OO <br /> d.FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDATE�IIN THIS SPACE)THIS IS YOUR PEHMIT (D <br /> fi.DRAINAGE PZllI11b111CJ 6 MBC}lar2i�314 Condr�c�t�x� �o-- � <br /> 1.ENV�RONMENTALIN=:CTS�ATEMENT obtain pezmits. <br /> —_. � <br /> 9.:IEM1iTH�IETRICT <br /> APPLIGATION ACC.BY rLANS CHECNED BV APPF.FOR ISSUANCE BY YO U R R C C E I PT � <br /> JEF THAIdY. YOU <br /> ADDRES5 FILE - 3 �P S5 <br />